Audit (A-02-11-01018)

05-02-2012
The New York Hotel Trades Council and Hotel Association of New York City, Inc., Health Benefits Fund Reported Unallowable Costs on its Final 2009 Medicare Cost Report

Executive Summary

On its final cost report for calendar year 2009, the New York Hotel Trades Council and Hotel Association of New York City, Inc., Health Benefits Fund (the Fund) reported Medicare Part B costs totaling $8.2 million for services provided to 3,180 plan members. Of this amount, the Fund included Medicare Part B costs totaling $237,000 that were not reasonable and allowable. Specifically, the Fund reported costs for services to plan members that were not Medicare-eligible, costs for services that were billed to both the Fund and Medicare by contracted providers, and costs for services not eligible for Medicare reimbursement.